Dane Street

National Provider of IME and Medical Peer Review Services

Disability Claims QA

QA EngineerQA EngineerFull TimeRemoteTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

96 days ago

Salary

$22 - $30 / hour

Associate Degree5 yrs expEnglish

Job Description

• Assess the quality of physician reports, ensuring they meet all client and jurisdictional standards specific to long-term disability claims. • Verify that the claims support the physician's determinations in long-term disability claims. • Read and apply policy guidelines and healthcare terminology, determining when criteria for long-term disability are met. • Provide strong customer service by working closely with clients on a case-by-case basis to deliver complete, timely, and error-free quality assurance for long-term disability cases. • Manage and provide oversight for complex long-term disability cases requiring additional review prior to returning to the client. • Serve as an additional level of QA for cases with quality issues, utilizing clinical claims knowledge specific to long-term disability. • Participate in other duties and special projects, as assigned, based on business needs.

Job Requirements

  • An Associate’s Degree or Bachelor’s Degree is preferred.
  • 5+ years of claims experience, preferred.
  • Disability experience required.
  • Business experience in a healthcare and/or insurance setting is preferred.
  • Must work with a sense of urgency and meet deadlines.
  • Must be self-motivated, with a strong drive for performance excellence.
  • Excellent written and verbal communication skills are required.
  • Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc. is a plus).
  • Attention to detail REQUIRED.
  • Present exceptional communication skills with a clear understanding of company business lines.
  • The ability to apply critical thinking, manage time efficiently and meet specific deadlines.
  • Computer literacy and typing skills are essential.

Benefits

  • medical, dental, and vision coverage for you and your family
  • voluntary life insurance options for you, your spouse, and your children
  • voluntary benefits including hospital indemnity, critical illness, accident indemnity, and pet insurance plans
  • basic life insurance, short-term disability, and long-term disability coverage at no cost
  • generous paid time off policy
  • 401k plan with a company match
  • Apple equipment and a media stipend for remote workspace

Related Categories

Related Job Pages

More QA Engineer Jobs

QA Manager, Accounting Software

CustomBooks™

Customizable Cloud-based Accounting and Inventory Solution designed to fuel growth for small to mid-size businesses.

QA Engineer96 days ago
Full TimeRemoteTeam 11-50Since 2012H1B No Sponsor

QA Manager overseeing quality assurance for cloud-based accounting software.

Selenium
United States
$55K - $95K / year

Principal Supplier Quality Engineer

Bloom Energy

Bloom Energy empowers businesses and communities to responsibly take charge of their energy.

QA Engineer97 days ago
Full TimeRemoteTeam 1,001-5,000H1B Sponsor

Principal Supplier Quality Engineer for Bloom Energy ensuring quality standards for fuel cell components

Tableau
Texas
$127.9K - $184.1K / year

QA Tester

WOW Remote Teams

Globalize Your Team | Hire Top Remote Professionals outside the U.S | Nearshore Same Time Zone

QA Engineer97 days ago
Full TimeRemoteTeam 1-10Since 2021H1B No Sponsor

Senior Testing/QA Specialist in AI and software innovation

SDLC
United States

Principal Software QA Engineer

Veracyte, Inc.

High-value insights, high-impact decisions

QA Engineer97 days ago
Full TimeRemoteTeam 501-1,000Since 2013H1B No Sponsor

Principal Software QA Engineer leading testing for applications at Veracyte.

California
$150.2K - $200K / year